Insurance Collector

University Health; San Antonio (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

University Health in Texas is seeking a dedicated insurance follow-up specialist to review patient accounts and ensure accurate reimbursement. The role involves identifying payor issues that delay payments and conducting timely follow-up with Managed Care to expedite settlements.

You will contact patients and third party payors to secure payment or arrange settlement plans, recognize delinquencies, and coordinate with physicians, departments, and vendors to resolve outstanding balances.

Qualifications

• High school diploma or equivalent required.
• 1 year hospital experience with insurance payors required.
• Experience with payor guidelines and contracts preferred.
• Experience with appeals to third party payors a plus.

Responsibilities

• Review accounts to ensure accurate reimbursement.
• Identify payor issues affecting payment delays and follow-up with Managed Care.
• Contact patients and other third party payor organizations to secure payment or arrange alternative payment/settlement plans.
• Identify problem delinquencies and recommend their disposition.
• Interact with federal, state, third party payors, agencies, physicians, departmental directors and outside related vendors.

Skills

Insurance payor experience

Payor guidelines knowledge

Medicare/Medicaid verification

10-key data entry

Education

High school diploma or equivalent

Job description

POSITION SUMMARY/RESPONSIBILITIES

Responsible for reviewing accounts to ensure accurate reimbursement. Identify payor issues affecting payment delays and follow-up with Managed Care. Contacts patients and other third party payor organizations to secure payment or arrange alternative payment/settlement plans. Identifies problem delinquencies and recommends their disposition. Independently interacts with federal, state, third party payors, agencies, physicians, departmental directors and outside related vendors.

EDUCATION/EXPERIENCE

High school diploma or equivalent is required. At least 1 years of hospital experience dealing with insurance companies, 3 years preferred. Knowledge of payor guidelines and contracts are required. Experience in appeals with third party payors, resulting in reimbursement is a plus. Must have working knowledge of computer, calculator and general office equipment. 10-key experience . On-line Medicare/Medicaid and Commercial verification is preferred.